a condition of being extremely off the deep end, mentally, in a very socially unacceptable way.
or
just so drunk that when trying to say the phrase "sick and twisted" it comes out "tick n swisted"
or
dyslexic's of the world untie!

Only a tick n swisted person could think of such a cruel punishment like making a dude piss on an electric horse fence.

OR

"Hey, no problemo, man! I meant what you knew! It's a tick n swisted world out there!"